Restor Dent Endod.  2022 Aug;47(3):e34. 10.5395/rde.2022.47.e34.

Outcome of endodontic treatments performed by Brazilian undergraduate students: 3- to 8-year follow up

• Rocha JGd
• Lena IM
• Trindade JL
• Liedke GS
• Morgental RD
• Bier CAS

• KMID: 2548138
• DOI: http://doi.org/10.5395/rde.2022.47.e34

Abstract

Objectives
This study aimed to evaluate the success rate of endodontic treatments performed by undergraduate students and the factors associated with the outcome.
Materials and Methods
A follow-up of 3 to 8 years after root canal filling was carried out in 91 patients. At the follow-up visits, medical and dental history questionnaires were applied along with clinical and radiographic examinations. Data collected in the clinical exam included: the presence of pain, swelling, sinus tract, mobility, tenderness to palpation and percussion, periodontal probing profile, and type/quality of coronal restoration. Postoperative and follow-up radiographs were digitalized and analyzed by 2 trained and calibrated examiners to assess periapical healing. The treatment outcome was based on strict clinical and radiographic criteria and classified as success (absence of any clinical and radiographic sign of apical periodontitis) or failure (other combination). Logistic regression was used to investigate the impact of clinical and radiographic variables on endodontic treatment outcomes at a 5% significance level.
Results
The success rate of endodontic treatments was 60.7%. The only risk factor significantly associated with failure was the presence of a periapical lesion on the postoperative radiograph (odds ratio, 3.35; 95% confidence interval, 1.17–9.54).
Conclusions
The success rate of endodontic treatments performed by undergraduate students was low and was jeopardized by the presence of a periapical lesion on the postoperative radiograph.

Keyword

Endodontics; Educational measurement; Treatment outcome

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